Berggren Steve, Fletcher-Watson Sue, Milenkovic Nina, Marschik Peter B, Bölte Sven, Jonsson Ulf
a Center of Neurodevelopmental Disorders at Karolinska Institutet (KIND), Pediatric Neuropsychiatry Unit, Department of Women's and Children's Health , Karolinska Institutet , Stockholm , Sweden.
b Child and Adolescent Psychiatry, Center of Psychiatry Research, Stockholm County Council , Stockholm , Sweden.
Dev Neurorehabil. 2018 Apr;21(3):141-154. doi: 10.1080/17518423.2017.1305004. Epub 2017 Apr 10.
To assess the generalizability of findings from randomized controlled trials (RCTs) evaluating emotion recognition (ER) training for children and adolescents with autism spectrum disorder (ASD).
We present a systematic review and narrative synthesis of the determinants of external validity in RCTs on ER training. Generalizability of the findings across situations, populations, settings, treatment delivery, and intervention formats was considered.
We identified 13 eligible studies. Participants were predominantly boys with ASD in the normative IQ range (IQ > 70), with an age span from 4 to 18 years across studies. Interventions and outcome measures were highly variable. Several studies indicated that training may improve ER, but it is still largely unknown to what extent training effects are translated to daily social life.
The generalizability of findings from currently available RCTs remains unclear. This underscores the importance of involving children with ASD and their caregivers in informed treatment decisions.
评估针对自闭症谱系障碍（ASD）儿童和青少年的情绪识别（ER）训练的随机对照试验（RCT）结果的可推广性。
我们对ER训练RCT中外部效度的决定因素进行了系统评价和叙述性综合分析。考虑了研究结果在不同情境、人群、环境、治疗实施方式和干预形式中的可推广性。
我们确定了13项符合条件的研究。参与者主要是智商处于正常范围（智商>70）的ASD男孩，各研究中的年龄跨度为4至18岁。干预措施和结果测量方法差异很大。几项研究表明训练可能会改善情绪识别，但训练效果在多大程度上能转化为日常社交生活仍 largely unknown。
目前可用的RCT结果的可推广性仍不明确。这凸显了让ASD儿童及其照顾者参与明智的治疗决策的重要性。
